HomeMy WebLinkAbout2004-P07347 - plumbing ITY �F ORON PERMIT
(' � Permit Number:
275� Kelley Parkway- PO Box 66 P07347
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: a�s�2ooa
SITE ADDRESS: 2010 Shoreline Dr
Wayzata,MN 55391
P I D: 10-117-2 3-31-0001
DESCRIPTION:
Proposed Use: xesicientiai
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Buchman Plumbing Company Inc. QWNER: Michelle M.Hudson-Winer
1701 44th Ave N 2010 Shoreline Dr
P.O.Box 11070 Wayzata,MN 55391
Minneapolis,MN 55412
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE I UED BY SIGNATURE
Conies: 1-File(SiQnitures Reauired). 1-Aunlicant 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
U�r-Z9-2004 02:Olpm From-CITY OF ORONO +9522494616 T-976 P.003/003 F-566
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PERMYT FEE C�LCin�ATiQIYfS)
2002 State__S�ut� Xes, This Section Applies
The replaccment of a ���r,�e�tial fixnue or_a�,�liance [hat mccts all thrcc of tha following
requirements:
1) Does not require modification to clec�ical or gas service.
2) Has a total cost of$50C�.00 or less; xcl�,_.,u,din�the cost of the fixture or apnliance:
and
3) Is i.mproved, installed or replaced by the homeowner or �icenced conuactor. �.
�. Skip next section; Cos�of Perm.it $ , „�5.00,
; State Surcharge $ .50
' Mail In Fee $ , 1.50
� If above daes not apply, follow guidelines below:
1. Contract price* is .0125 % of job with a Minimum Fee pf($3�.UOl
x .0125 $
(conaact pricc) (minimum$35.00)
� 2, Surchar e. ** Add tha State Building Code Division a (Minimum Fee of$ .SO)
x .0405 $ �
(contract price) (minimum S .SO)
3. Posta�e and Handl�ng (Only mail-in applications) $ 1_50 _
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ __ _ _
* CONTRACT PRICE or JOB COST meaas th�actual or estfmated dollnr atnounc charged for the permitted
work including ma�erials,labor,profit,and other fixed costs. It is the amount to ba char�ed ta the customer
for thc work done. If any material, equipment, labor,or installation are ftimished by the owner,tenant or
axty other parcy the reasonable market valuc of sueh items must be added to the esti:aated cosc or conQact
price for permit fee purposes. Yn the eveni that there is a dispu�e on the amouni of the job cost,the Ciry may
request the submission of a signetl copy of rh�actua!contract.
*� The STATE SURCI�ARG�is.0005 of the eontract price undtr$1,000,000 or 5.50-wIuehever is greater.
Por valuarions over$1,000,000 call the Department of�spsction Serviees for th�price.
The undersigned hereby applies to the City for issuancc of a Plumbing Permit, agrees to do all �
work in strict accordance with th� ordin2nces of the Ciry and fihe regulations of the State of
Minnesota, and eertiftes tha statcmcnrs made on this applicauon aze complete, truc and
CORCCt.
A licant's Si natur�• Date; ��� — �
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��r-29-2004 02:Olpm From-CITY OF ORONO +9522494616 T-9T6 P.002/003 F-566
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CTT'Y OF ORONO APPLICATION FOR PLUMBING PERN�,IT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
�jV'FRAL INFORMATION
1. You may apply for plumbin�permits by mail or iu persoa ac the Ciry offices.
2. Pexu�it eards will be senc by return mail afcer a review is compleud. PfiRMITS ARE NOT VAL.ID UNTIL
YOU R�C�IV�A��RM1T. WORK MUST NOT BE(3IN UNTIL TFIE PERMIT CARD IS POSTED ON
THE JOB SI.T_E
3. Plumbing persnia may be issued ONL,Y to licensed plunabing contracmrs and to property owners rrsidfng
fn che dweAing.
4. 'W'hen any new construction or reulodeling is involved, a separate building permlt must be 4btained.
S. All work must be done in accordance with ehz Scate Code requiremenis.
6. Ail work must be inspected and air tested bofore it is covered. Call (952) 249-4600. 24-hout �otice
required.
�ctions Complete all items on this application. Compute the permit fee. Sign and date the _
cercification. INCOMPLETE APPLICATIONS WT�,L NOT BE PROCESSED. If you have
questions, call (952) 249�600.
Please check one: New Addition Rcpair Replace
�Residential Commercial
ao$s��:��,����2 °r2�_��,����c �_ Z�p:=�>s���� t
O'e�er's Nam�:(,\11���r�\�, ����\N�(2 Te!ep��ne r;�:mb�r:��4� -C1��' • ��7�h`7
Mailing Address: ,\C"� ��c�1��i �N,�� �- City:�:�\l���\C, Zip:�S'��l
Contractor's Name:�``�'�� � � t�C'�1'C3`t��-Telepbone Nwnber.�.�a-���•;,� .��1 C�'7
Mailing Address:�'-�,��, \\C��t. City: ��\. zip:�sq\l
PLIIMBING FIXTLTRE SCHEDULE
FiXTC1It� BSMT 1ST 2ND OTH�R FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TXPE FL FI.
Water CtOset � F1aor Drains
Lava Scwer E'eccor
Bathtub Laua Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Soft�ner
Dishwasher Wet�ar
Sillcocks Misc ist)
AT TIME "
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CIn OF ORONO CALLED IN
INSPECTION OTIC SCHEDULED � /Of 30
PERMIT N0. � CO PLEfED
ADDRESS ��D d �
OWNER CONTR.
TELEPHONE NO. (D!Z �q O g�g� �r,�•G�,
� DESCRIPTION � �� /�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER7FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� WORK SATISFACTORY:PROCEED O PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (g52) 249-4600
Owner/Contr e:
Inspector. c
White CopyMspecto�'s File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLEO IN �� U �
INSPECTIONNOTIC SCHEDULED ����L ' �'�•�� %
PERMIT NO. � a�� COMPLETED
ADDRESS -� O� � ��� ` ��� �
OWNER CONTR. �L'G�C�{( .(�, �'����.
TELEPHONE NO. ���� �s��/�� .� � Z�i2�<C) -
'/J %37/
� DESCRIPTION � � � ��'�,lr-� � r�C ,�i '`,�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC tNSTALL. 22 FOLLOW-UP
i09 PL G RI 23 SEPTIC FI L 35 HARD COVER REMOVAL
J;� PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWN CTO TOMEETYOU: YES_NO
� COMM .
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra ite:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice